7 Essential Guidelines for Exercise for Diabetics
November is Diabetes Awareness Month!
The information in this course is from “Exercise, Diabetes, and Metabolic Syndrome,” a continuing education course offered by NAFC.
There are several precautions a client can take to not only prevent hypoglycemia, but to also have a safe exercise experience. Use these Guidelines to help your client avoid complications during exercise.
- Inject insulin in a part of the body that will not actively be used for exercise. The abdomen is recommended.
- Check blood glucose levels before, during and after exercise the first couple of exercise sessions and/or if trying a new activity.
- Activity type, intensity, and duration may affect glucose levels.
- Typically, 1 hour of exercise = an additional 15 grams of carbohydrates either before or after exercise.
- During exercise, a quick source of carbohydrates (that does not also contain fat) should be readily available such as orange juice or hard candy.
- Be aware of a delayed post-exercise hypoglycemia in those who take insulin.
- Metabolism may remain elevated for several hours post-exercise especially during the night.
- Check glucose at bedtime and again a couple hours after (~1-2AM) especially on a day of increased activity.
- Adequate fluids before during and after exercise are recommended.
- Wear proper shoes with polyester or blend socks as well as inspecting feet after exercise to practice good foot care.
- Carry medical identification.
References:
- Schmidt-McNulty T. (2017) Exercise, Diabetes, and Metabolic Syndrome. Fitness Learning Systems. www.nafconline.com:CEC.
- Lobb-Oyos M and Barkley S. (2012) Diabetes Medications: Guidelines for Exercise Safety. ACSM ’s Certified News, 22(3):6-7.
